Hirschsprung

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Marc Levitt

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Topic overview

Dr. Marc Levitt discusses diagnosis and management of Hirschsprung disease at the 50th Anniversary APSA meeting in Boston. This ePiPS special covers clinical approaches to congenital intestinal aganglionosis, a condition requiring specialized pediatric colorectal surgical expertise.

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Key takeaways

  • Hirschsprung disease requires early diagnosis through rectal biopsy to confirm absence of ganglion cells
  • Definitive treatment involves pull-through surgery to remove aganglionic bowel segment
  • Postoperative complications include enterocolitis, stricture, and bowel dysfunction requiring long-term follow-up
  • Delayed diagnosis increases risk of toxic megacolon and perforation in neonates
  • Multidisciplinary care with pediatric surgery and gastroenterology optimizes outcomes

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